Healthcare Provider Details

I. General information

NPI: 1386661130
Provider Name (Legal Business Name): ESENBEE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 02/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2958 PERKINS RD
BATON ROUGE LA
70808-2248
US

IV. Provider business mailing address

2958 PERKINS RD
BATON ROUGE LA
70808-2248
US

V. Phone/Fax

Practice location:
  • Phone: 225-343-4869
  • Fax: 225-343-4819
Mailing address:
  • Phone: 225-343-4869
  • Fax: 225-343-4819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN E. YELLOTT
Title or Position: OWNER
Credential: RPH
Phone: 225-343-4869